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NURS 502 FINAL EXAM NEWEST 2025 ACTUAL
EXAM COMPLETE 100 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+ |BRAND
NEW!!
Which methods of contraception decrease the risks of vasomotor symptoms and increase blood clots - CORRECT ANSWER -·
Decrease VMS symptoms: oral/transdermal estrogen products
· May reduce VMS symptoms: progestin products
· Estrogen increases chances of blood clots · COCs increase blood clots
What hormone therapy would be helpful for vasomotor sx in
women w/ various previous medical hx:
Mod/severe hot flashes/night sweats and inadequate response to behavioral/lifestyle modifications? - CORRECT ANSWER - NO?Vag sx such as dryness/pain w/ intercourse/sexual activity?
YES? 1 / 4
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Free of breast CA, endometrial CA, and other hormone sensitive cancers?YES?Vaginal lubricants/moisturizers. Consider Low dose vaginal estrogen if response inadequate. Ospemifene may be an option for non-estrogen oral tx if no contraindications.
What hormone therapy would be helpful for vasomotor sx in
women w/ various previous medical hx:
Mod/severe hot flashes/night sweats and inadequate response to behavioral/lifestyle modifications? - CORRECT ANSWER - NO?GU sx- vaginal dryness/pain w/ intercourse/sexual activity?NO?
AVOID HT!!
**MUST be free of breast CA, endometrial CA, and other hormone sensitive CA to start HT.
In this scenario use vaginal lubricants/moisturizers.
What hormone therapy would be helpful for vasomotor sx in
women w/ various previous medical hx: 2 / 4
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Mod/severe hot flashes/night sweats and inadequate response to behavioral/lifestyle modifications? - CORRECT ANSWER - YES?Free of breast CA, endometrial CA, VTE, CHD, stroke/TIA, and other contraind./interested in HT??YES?
Prior hysterectomy: Estrogen alone
Uterus intact: estrogen + progestogen (CE/bazedoxifene another
option)
What hormone therapy would be helpful for vasomotor sx in
women w/ various previous medical hx:
Mod/severe hot flashes/night sweats and inadequate response to behavioral/lifestyle modifications?
- RF/contraindications to HT - CORRECT ANSWER -Free of
c/i to SSRI/SNRI?
Consider low-dose paroxetine/other well studied SSRI/SNRI (venlafaxine/escitalopram)
Not controlled/contraindications?Adjust dose/consider gabapentin/pregabalin/clonidine 3 / 4
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CVD risk and time since menopause onset: <5 years and Low
risk - CORRECT ANSWER -HT OK
CVD risk and time since menopause onset: 6-10 years and Low
Risk - CORRECT ANSWER -HT OK
CVD risk and time since menopause onset: >10 years and Low
Risk, >10 years and moderate risk, any range of years and high risk - CORRECT ANSWER -AVOID HT
CVD risk and time since menopause onset: <5/6-10 years and
moderate risk - CORRECT ANSWER -HT OK, choose transdermal
Tx for vasomotor sx: Mild - CORRECT ANSWER -Lifestyle
modifications:
Avoid triggers, decrease caffeine/hot beverages, exercise, weight maintenance, relaxation, smoking cessation, diet/nutrition
Tx for vasomotor sx: Mod/severe - CORRECT ANSWER -
Systemic therapy
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